Tamil Nadu

TLM Dayapuram Hospital

Manamadurai is a taluka in Sivaganga district in Tamil Nadu. It is an important junction in Madurai – Rameshwaram Highway and Thanjavur – Manamadurai Highway. The State Industries Promotion Corporation of Tamil Nadu (SIPCOT) Limited is situated in Sivagangai road, which is major employment source for people in and around Manamadurai. Bricks, brick tiles, and pot making centres are major industries in Manamadurai. The main causes of morbidity in the district are TB, malaria, gastroenteritis, diabetes and hypertension. Maternal and child mortality rates are also high in the area.


TLM Dayapuram Hospital was established in the year 1913.  

Rev. Stanley Vaughn of the American Madurai Mission started an asylum for leprosy patients who have been thrown out of their homes, in 1913, in Dayapuram, on the banks of River Vaigai, about four km from the town of Manamadurai, in Sivagangai district of Tamil Nadu. The Mission to Lepers (now, The Leprosy Mission Trust India) was involved with the working of the asylum from the beginning. In 1955 it took over the management of the asylum and presently, it is a full-fledged hospital catering to the medical needs of people in and around Dayapuram.

The facilities provided by the hospital include out-patient facilities, in-patient services, operating theatre, laboratory services, ECG services, X-ray services, counselling, physiotherapy, pharmacy, MCR protective footwear and artificial limbs.

Goal of the hospital

The goal of the hospital is to provide holistic medical care to people affected by leprosy and others in the taluks of Manamadurai, Ilayangudi and Tirupuvanam, Sivagangai, in Tamil Nadu. It aims to address physical and psychological problems faced by people affected by leprosy.

The Hospital aims to achieve these goals through:

  • Managing ocular problems due to leprosy, medical management, and surgical management through referral systems.
  • Teaching self-care methods to patients and their families, providing primary and secondary healthcare for medical and dermatological services in the community.
  • Referring people who need social welfare measures to the appropriate department in the government and other NGOs, and referring children affected by leprosy to vocational training centres.
  • Working in partnership with District Rehabilitation Officer and the District Welfare Officer of the Government of Tamil Nadu for the benefit of people affected by leprosy/disability. 



Outpatient Inpatient
The hospital provides holistic care for the following specialities:

  • leprosy treatment and management
  • dermatology
  • general medicine
  • general physiotherapy
  • reconstructive surgery

In 2015, 44,000 general consultations were provided, with:

  • 99% dermatology
The hospital has a 20-bedded in-patient wing and provides best advanced inpatient care latest equipment and 24-hour nursing care.

  • 170 patients were admitted for leprosy treatment (eye care, ulcer, surgery, lepra reaction and neuritis, etc).
  • 280 patients were admitted to general medical care.

About 3,300 leprosy bed days and 1,500 general patient bed days were utilised.






Support services (lab tests; X-ray, ECG, physiotherapy, counselling):

  • 22,000 lab tests, including 210 skin smear examinations for leprosy, 7,300 haematology tests and 12,000 biochemistry tests done in 2015.
  • 220 X-ray examinations and 30 ECG tests done.
  • 1,000 patients underwent physiotherapy.
  • 1,600 leprosy patients counselled.

Prevention of impairment and disability (POID) in leprosy:

The hospital provides patient education, physiotherapy, pre-fabricated splints, MCR protective footwear, etc, to leprosy patients to prevent impairment and disability. In 2015:

  • 40 leprosy patients diagnosed with reaction/neuritis were given appropriate treatment.
  • 80 ulcer surgeries done.
  • 340 pairs of MCR protective footwear manufactured in-house and supplied to leprosy patients. They were also supplied to the government.
  • 180 orthoses manufactured at the artificial limbs manufacturing unit were supplied to needy leprosy patients.

Community outreach:

The hospital conducts village health clinics twice a month. It runs a programme for health education and awareness in many villages in the district. Also, it supports people affected by leprosy/disability in accessing social welfare schemes of the state and central governments. About 1,000 people affected by leprosy/disability were benefitted through this, in 2015.